Declaration for Mental Health Treatment

Oregon has a form for stating your wishes for mental health care. The form is completed when you can understand and make decisions about mental health care. Such care is provided based on these wishes during times when you are unable to make such wishes known. Only a court or two doctors can decide if you are not able to make decisions about your mental health care.

This form allows you to make choices about the kind of care you want or do not want. It can be used to name an adult to make decisions about your care. This person named must agree to represent you and must follow your wishes. If your wishes are unknown, this person must decide what you would want.

A declaration form is only good for three years. You may become unable to decide during those three years. If so, your declaration will remain good until you can make decisions.

You may change or cancel your declaration if you can understand choices and decide. You must give your new form to your doctor and the person named.

Call the Mental Health Provider in your county to get this form or if you want more information about this form. You can also get the form from the State of Oregon by calling (503) 945-9700.